Organization
ASSOCAITES IN PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA R SAGESER ST (PRESIDENT)
(502) 633-1007
Entity
Organization
Contact information
Practice address
1927 LEWISTON DR, LOUISVILLE, KY 40216-2523
(503) 633-1007
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
(502) 437-0624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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